THE FRENALE ON THE FORESUS HAS TORNED: what to do if the frenulum ruptures

A rupture of the frenulum of the foreskin of the penis is one of the most common reasons for young people to visit a doctor (except for genital infections). There is even a widespread misconception on the Internet that the frenulum must break at the beginning of sexual activity. Those. breaking the frenulum is a kind of analogue of deflowering girls. But in reality, the frenulum should not be torn or damaged during sex.

What to do if the frenulum on the head is torn →

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Treatment of frenulum rupture and other operations in the intimate area is performed by Dr. BABIKIN A.V.

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Our clinics perform a full range of operations in the field of intimate surgery, including plastic surgery for ruptured frenulum of the penis. We can also perform surgical correction after unsuccessful operations performed in OTHER clinics. If you decide to have surgery with us, please visit our forum and look at photos of what the penis will look like after frenuloplasty.

If you suspect a short frenulum or have a rupture of the frenulum on the head, you can create a topic on the forum and get a free consultation.

Rupture of the frenulum of the penis occurs most often during rapid sexual intercourse, defloration or insufficient hydration of the partner’s vagina. But the main reason is, of course, the initially short frenulum of the foreskin.

Since blood vessels and nerves pass through the frenulum, a rupture is always accompanied by severe pain and severe bleeding, which can be difficult to stop. If a torn frenulum heals on its own, in the vast majority of cases a scar forms at the site of the rupture (or tear). This scar, in the process of its formation, contracts and shortens the frenulum. In this case, the same problems arise as with congenital shortening of the frenulum, but the scar is not elastic and very quickly the frenulum ruptures again. The situation repeats itself and the shortening of the frenulum worsens. That is why it is preferable to perform the operation without waiting for re-damage, and if this happens, then to prevent the formation of a rough scar, because the foreskin may be involved in the cicatricial process, and this in turn leads to the development of cicatricial phimosis.

What to do if the frenulum of the penis is torn

Considering that in most cases, frenulum rupture occurs in the evening or at night, getting qualified medical help on time can be problematic. In this regard, you have to solve the problem yourself:

Dr. Babykin A.V.

1. Keep calm. The frenulum can bleed quite heavily and for a long time.
2. To stop bleeding, use your fingers to firmly press the torn frenulum against the head of the penis for 5-10 minutes (the thumb lies on the head from above, the rest presses the frenulum from below). Attention ! Do not squeeze the penis too hard to avoid ischemia of the head of the penis. You shouldn’t unclench your fingers every minute and check whether the bleeding has stopped or not. Be patient: you can check in 5-10 minutes.
3. After the bleeding has stopped, you can treat the wound with a solution of hydrogen peroxide or another skin antiseptic (you can use vodka).
4. Do not apply tight circular bandages to the hollow penis: involuntary erections occur during sleep, and the head of the penis may be strangled in the bandage. The bandage should be applied very loosely.
5. Contact your urologist as soon as possible to decide whether to perform a frenuloplasty to prevent the formation of a rough scar and subsequent tears. Plastic surgery of the frenulum after rupture

Frenum of the foreskin

In the nth percent of men at birth, and in some subsequently through injury, the frenulum of the foreskin becomes short and not prone to stretching. Blows, injuries and active sexual intercourse can tear the frenulum. Today in the world there is only one method of treating frenulum pathology, namely surgery.

As a result of surgical intervention, either the frenulum is completely removed, or a so-called frenulotomy is performed, that is, plastic surgery of a shortened frenulum, which can be lengthened.

Surgical intervention to remove the frenulum is performed by transversely dissecting the frenulum, after which it is sutured longitudinally. In another case, the frenulum is completely removed. This operation can prevent rupture of the frenulum of the foreskin in the future. Hospitalization is not required for the operation. Healing occurs within ten to fourteen days, and sex is also prohibited during this recovery period. This procedure is carried out using laser technology, depending on the indications.

Duration

The operation itself lasts about thirty minutes under local anesthesia. The technique itself consists in making an incision across the genital organ, then suturing it in the longitudinal direction. This procedure makes it possible to eliminate excessive tension on the foreskin and will turn your frenulum into an almost invisible seam, which will turn into a natural “suture” at the bottom of the genital organ.

Complications

This operation also has complications, but they are very rare. Most complications arise from infection introduced during the operation in the form of simple bleeding.

And, nevertheless, it is necessary to take into account that in the place where the foreskin is located, there are no large vessels, which is why all bleeding is not life-threatening and can disappear at home.

In order to exclude the possibility of infection, doctors will prescribe you various types of antibiotic-based creams; they are advised to use them for three to seven days.

Inspection

In general, examination by a doctor is carried out on the second day after the operation itself, and after seven days. In general, the operation itself is not very complicated, and quite painless, and the recovery period can pass very quickly and without any complications. This operation can also be performed using a laser. The advantages of this method are that the use of laser technology minimizes the risk of introducing various infectious diseases. The rehabilitation period in this case is reduced by half. But there is an opinion in the world that removing the frenulum using a laser is not a very effective procedure, because the anatomical structure of the genital organ implies its constant movement, changes in its stretch and size, which is very often considered the cause of suture divergence. But only the patient can choose which method is better - classic or laser, everything goes according to the wishes of the patient, as well as medical indications. Also, an important point is that the urologist, before the operation itself, is obliged to prescribe examinations and tests, which include consultations with a therapist , an anesthesiologist, blood tests, in some cases according to the testimony of other specialists, and also an electrocardiogram. If all the necessary tests are present, the operation can be performed on the day of treatment. After removal of the frenulum of the foreskin, the patient has the opportunity to immediately go home. The next day he must come for an examination, or remain in the hospital for observation. Basically, the method of performing the operation does not depend on when you can begin to be sexually active again. Both in the classical and laser methods, sex is allowed after fourteen days from the end of the operation. We also advise you to avoid physical activity. In order to avoid complications and also speed up healing, we recommend:/p>

• abstain from sexual intercourse until the end of the recovery period (fourteen days);
• treat the healing area only with the medications prescribed by your doctor;
• Follow absolutely all the doctor's instructions.

Surgical correction of the frenulum in case of rupture

Penis frenuloplasty is performed under local anesthesia and is absolutely painless. After the operation, the frenulum is removed, and in its place a thin, invisible scar is formed. The head of the penis then opens freely. Read more about frenuloplasty

A contraindication for frenuloplasty in case of rupture is the presence of phimosis - narrowing of the foreskin. In this case, circumcision of the foreskin is performed with simultaneous plastic surgery of the frenulum.

Photos before and after frenuloplasty

Causes of tongue frenulum anomaly

Most children have mild pathology, but severe forms are also not uncommon. The size of a child’s tongue frenulum is most often determined by heredity, as well as the following factors:

• viral infection in the mother in the first and last trimesters;
• late toxicosis;
• exacerbation of chronic diseases during pregnancy;
• injuries in the abdominal area during gestation;
• taking potent drugs by the expectant mother.

The essence of the problem

Photo: this is what a normal frenulum looks like in a child’s mouth

The tongue is attached to the base of the mouth by its root part. Between the tongue and the lower edge of the mouth there is a small fold of skin - the frenulum. Normally, it should be such a length that a person can easily move his tongue, stick it slightly beyond the lips, touch the front surface of the teeth, and pronounce sounds.

A shortened frenulum of the tongue greatly limits its mobility, speech capabilities and ability to eat normally.

, especially in children. The same problems arise if it is not attached correctly, when it is in close proximity to the tip of the tongue.

The consequences are:

• Photo: this is what an incorrectly positioned frenulum looks like

  During the period of breastfeeding, the baby is unable to suckle normally, as the tongue is limited in its movements. Because of this, children become very anxious, cry, and lose weight.

• Lack of nutrition can have a negative impact on any developing system of the body, causing stomach diseases.
• A child with a short frenulum develops an incorrect bite, which causes dental diseases and their displacement.
• After teething, when trying to stick out the tip of the tongue, the baby will injure it on the lower incisors.
• In older children, a short hyoid frenulum complicates the formation of sounds: it is difficult for them to pronounce words, and the process of learning speech is delayed.
• The breathing mechanism changes: the baby gets used to breathing through the mouth. Symptoms of the pathology

The frenulum in newborns normally has a length of about 8 mm

or more, and for five-year-old children it increases to 17. But mothers are not always able to take measurements at home, especially if the baby is very active. And only specialists can understand whether everything is located correctly in the oral cavity.

You can determine whether a child has a short frenulum by some external signs:

• In infants, due to their low ability to suck milk, loud smacking and clicking sounds appear.
• The baby attaches incorrectly to the breast, does not cover the areola with his mouth, so he often bites the nipple, which then becomes inflamed.
• The baby is nervous, arches, twists his arms and legs when feeding, often throws and applies to the breast again. Does not gain weight or even lose it.
• The tip of the tongue may be bifurcated due to shortening of the septum. What a child’s forked tongue looks like with a short frenulum, look at the photo on the right.
• Older children have noticeable speech defects, their voice is nasal and quiet.
• Saliva production increases.
• Apnea attacks are possible.
• Due to insufficient food processing, digestive problems occur.

If parents suspect a problem, they should contact their pediatrician or dentist. But in many cases, the defect is determined by a neonatologist in the maternity hospital.

Ways to solve the problem

At the moment, there are several correction methods:

• Trimming the frenulum in children with a scalpel.
• Laser cutting of the frenulum under the tongue.
• Stretching through exercise.
• Removing the defect using massage.

Surgical interventions can be performed in different ways, the main methods are:

• Frenuloplasty is the removal of a flap from the tissue of a defective bridge, which is sutured to the resulting wound to increase the mobility of the tongue. Local anesthesia is required, but the damaged mucous membrane heals very quickly. Used for preschool children.
• Frenulotomy: the length of the frenulum is conventionally divided into three parts, an incision is made between the lower and middle lobes, and the edges of the mucous membrane are sutured. This method is suitable for infants.
• Frenulectomy is the same manipulation, but the frenulum is clamped with instruments. The method is suitable for five-year-old children.

In more modern clinics, trimming is performed using a laser. The dissection is carried out after treatment with an anesthetic: gel, spray. For patients, such cutting is less traumatic, damage to blood vessels is minimal - the laser simultaneously cuts the mucous membrane and causes adhesions of the affected capillaries

.

Tissue regeneration after laser trimming takes place within a few days, and you can return to your normal lifestyle an hour after the procedure. But how long you need to stay in the clinic is decided by the doctor. Complications are less common than after eliminating the defect with a scalpel.

When and who needs tongue frenuloplasty?

Most often, an abnormality of the frenulum of the tongue can be diagnosed in a child immediately after birth. Then it is recommended to fix it. However, plastic surgery is performed on children of preschool and school age, as well as adults. The operation is indicated in the following cases.

• Violation of sucking in newborns.
  If babies have a tongue frenulum that is too short, they cannot latch onto the nipple properly, resulting in underweight, fussiness, and poor sleep.
• Diction defects.
  Due to poor tongue mobility, children distort some sounds, especially “r”, “l” and hissing sounds. As a rule, the problem is discovered by a speech therapist in preschool age.
• Abnormal shape of teeth and gums.
  A tongue frenulum that is too short can interfere with proper growth of the lower jaw. This leads to incorrect positioning of the front teeth and gum recession.
• Preparation for implantation and prosthetics.
  Any deviations in the shape of the soft tissue from the norm can ultimately lead to implant failure, so they need to be corrected before surgery. The discomfort caused by the pathology of the frenulum of the tongue during the use of removable dentures, especially on the lower jaw, is also important: the structures simply fall out when talking or eating.

Postoperative period

The mucous membrane in the mouth is restored quickly. But cutting the frenulum can cause complications:

• Formation of a hard scar at the site where the incision was made.
• The development of the inflammatory process due to infection.
• Temperature increase. It appears as a sign of the development of an infectious process or a peculiar reaction to an operation.

The baby may react to complications with constant anxiety and refusal to eat. Children three years old and older can tell themselves what worries them. If you experience any discomfort, you should consult a doctor; only a specialist will correctly assess the baby’s condition and prescribe the best treatment.

To avoid complications, you need to keep your mouth clean. Five-year-old children already brush their teeth and can rinse their mouths with water. For several days after the defect is removed, you should not chew solid food or talk much.

You should ask your doctor exactly how long the restrictions should be observed. After a follow-up examination, the attending doctor will recommend special exercises to develop the elasticity of the frenulum.

Rehabilitation

1. If the doctor's recommendations are fully followed, full recovery occurs within a month. At this time, it is important to give up intimacy.
2. After frenulotomy, avoid getting water on the penis, rinse it with antibacterial drugs prescribed by the doctor and chilled chamomile decoction.
3. Avoid lifting weights and playing sports.

Almost all specialists in narrow fields work at the Heratsi Medical Center. You will be able to undergo diagnosis and treatment. Our clinic employs only experienced doctors with high professional training. Own diagnostic equipment (ultrasound) of expert class and laboratory. The cost of all services of the medical center can be viewed in the “Price” section or by calling the 24-hour hotline.